Moral Injury and Burnout in Health Care Professionals During the COVID-19 Pandemic

Autor:	Ye Kyung Song, Jennifer Lawson, Sneha Mantri, Elizabeth J Berger, Harold G. Koenig
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Cross-sectional study education Context (language use) Burnout Psychiatry and Mental health Pandemic Health care Medicine Young adult business Psychiatry Moral injury Depression (differential diagnoses)
Zdroj:	Journal of Nervous & Mental Disease. 209:720-726
ISSN:	1539-736X 0022-3018
DOI:	10.1097/nmd.0000000000001367
Popis:	The coronavirus pandemic (COVID-19) is predicted to increase burnout in health professionals (HPs), but little is known about moral injury (MI) in this context. We administered the Moral Injury Symptoms Scale for Health Professionals (MISS-HP) and the abbreviated Maslach Burnout Inventory via online survey to a global sample of 1831 HPs in April and October 2020. Mean MISS-HP increased from 27.4 (SD, 11.6) in April to 36.4 (SD, 13.8) in October (p < 0.001), with an accompanying increase in personal accomplishment (April: 4.7; SD, 3.1; October: 9.3; SD, 3.1; p < 0.001) and no change in other burnout subscales. In April, 26.7% of respondents reported at least moderate functional impairment from MI, increasing to 45.7% in October (p < 0.001). Predictors of MISS-HP included younger age and being a nurse. Odds of functional impairment were higher in respondents who were widowed, divorced, never married, or had direct experience caring for patients with COVID-19. COVID-19 has increased MI but not burnout in HPs; younger or unmarried individuals, nurses, and frontline workers may benefit from targeted outreach to reduce downstream effects of MI, depression, and/or posttraumatic stress disorder.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::0c4e1715a5ac03a49b9a478d50b96930 https://doi.org/10.1097/nmd.0000000000001367 Zobrazit plný text záznamu